Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Riociguat
Drug ID BADD_D01948
Description Riociguat is a soluble guanylate cyclase (sGC) agonist approved in the USA, Europe and several other regions for patients with group I PAH (pulmonary arterial hypertension) in WHO FC II or III; and for the treatment of patients with inoperable CTEPH (chronic thromboembolic pulmonary hypertension), or persistent/recurrent PH (pulmonary hypertension) after pulmonary endarterectomy in WHO FC II or III. Riociguat is marketed under the brand Adempas® by Bayer HealthCare Pharmaceuticals. Treatment with riociguat costs USD $7,500 for 30 days of treatment.
Indications and Usage Riociguat is indicated for the treatment of adults with persistent/recurrent chronic thromboembolic pulmonary hypertension (CTEPH), (WHO Group 4) after surgical treatment, or inoperable CTEPH, to improve exercise capacity and WHO functional class. Riociguat is indicated for the treatment of adults with pulmonary arterial hypertension (PAH), (WHO Group 1), to improve exercise capacity, WHO functional class and to delay clinical worsening. Efficacy was shown in patients on Riociguat monotherapy or in combination with endothelin receptor antagonists or prostanoids. Studies establishing effectiveness included predominately patients with WHO functional class II–III and etiologies of idiopathic or heritable PAH (61%) or PAH associated with connective tissue diseases (25%).
Marketing Status approved
ATC Code C02KX05
DrugBank ID DB08931
KEGG ID D09572
MeSH ID C542595
PubChem ID 11304743
TTD Drug ID D04UKC
NDC Product Code 12527-0254; 12527-0252; 50419-253; 69766-021; 50419-252; 12527-0253; 12527-0251; 50419-250; 50419-254; 12527-0250; 50419-251
UNII RU3FE2Y4XI
Synonyms riociguat | BAY 63-2521 | BAY-63-2521 | Adempas
Chemical Information
Molecular Formula C20H19FN8O2
CAS Registry Number 625115-55-1
SMILES CN(C1=C(N=C(N=C1N)C2=NN(C3=C2C=CC=N3)CC4=CC=CC=C4F)N)C(=O)OC
Chemical Structure
ADRs Induced by Drug
*The priority for ADR severity classification is based on FAERS assessment, followed by the most severe level in CTCAE rating. If neither is available, it will be displayed as 'Not available'.
**The 'Not Available' level is hidden by default and can be restored by clicking on the legend twice..
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Intervertebral disc disorder15.10.01.0030.000469%Not Available
Sensation of foreign body08.01.09.0020.000325%Not Available
Drug intolerance08.06.01.0130.002599%Not Available
Obstructive airways disorder22.03.01.0110.000181%Not Available
Renal impairment20.01.03.010--Not Available
Sinus disorder22.04.06.002--
Poor quality sleep19.02.05.005; 17.15.04.0020.000120%Not Available
Gastrointestinal inflammation07.08.03.0070.000181%Not Available
Chronic kidney disease20.01.03.0170.000361%
Pulmonary arterial hypertension24.08.03.003; 22.06.01.0020.002166%Not Available
Adverse reaction08.06.01.0180.000120%Not Available
Gastrointestinal sounds abnormal07.01.01.0020.000265%Not Available
Oropharyngeal discomfort22.12.03.015; 07.05.05.0080.000120%Not Available
Oropharyngeal pain22.12.03.016; 07.05.05.004--
Acute kidney injury20.01.03.016--
Toxicity to various agents12.03.01.046--Not Available
Frustration tolerance decreased19.04.02.0160.000120%Not Available
Abnormal loss of weight14.03.02.019--Not Available
Cardiac failure chronic02.05.01.0090.000241%Not Available
Chronic respiratory failure22.02.06.005; 14.01.04.0050.000181%Not Available
Mesenteric vein thrombosis24.01.08.004; 07.15.02.0130.000120%Not Available
Urinary bladder haemorrhage24.07.01.086; 20.03.01.0230.000181%Not Available
Terminal state08.01.03.0790.000120%Not Available
Diastolic hypotension24.06.03.012--Not Available
Heart valve incompetence02.07.02.0030.000120%Not Available
Seizure like phenomena17.12.03.0300.000120%Not Available
Pulmonary pain22.12.01.0100.000181%Not Available
Internal haemorrhage24.07.01.0720.000301%Not Available
Hemianaesthesia17.02.06.0430.000120%Not Available
Critical illness08.01.03.0650.000241%Not Available
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